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Prepared by the IPM Institute for Sysco Page 1 of 37 CONFIDENTIAL © copyright Sysco Corporation 02/28/2017 CONFIDENTIAL Sysco SUSTAINABLE/ INTEGRATED PEST MANAGEMENT INITIATIVE Improving Stewardship in Canned and Frozen Fruit and Vegetable Production Sysco SUSTAINABLE/IPM STANDARD AUDIT v09.03 Revised 2/28/2017 Prepared for Sysco by: The IPM Institute of North America, Inc. 211 S. Paterson St. Suite 380 Madison WI 53703 (608) 232-1410, Fax (608) 232-1440 [email protected]; www.ipminstitute.org Copyright Sysco Corporation
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Sysco SUSTAINABLE/ INTEGRATED PEST MANAGEMENT … … · Sysco SUSTAINABLE/ INTEGRATED PEST MANAGEMENT INITIATIVE . Improving Stewardship in . Canned and Frozen Fruit and Vegetable

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Page 1: Sysco SUSTAINABLE/ INTEGRATED PEST MANAGEMENT … … · Sysco SUSTAINABLE/ INTEGRATED PEST MANAGEMENT INITIATIVE . Improving Stewardship in . Canned and Frozen Fruit and Vegetable

Prepared by the IPM Institute for Sysco Page 1 of 37 CONFIDENTIAL © copyright Sysco Corporation 02/28/2017

CONFIDENTIAL

Sysco SUSTAINABLE/ INTEGRATED PEST MANAGEMENT INITIATIVE

Improving Stewardship in

Canned and Frozen Fruit and Vegetable Production

Sysco SUSTAINABLE/IPM STANDARD AUDIT v09.03

Revised 2/28/2017

Prepared for Sysco by:

The IPM Institute of North America, Inc. 211 S. Paterson St. Suite 380

Madison WI 53703 (608) 232-1410, Fax (608) 232-1440

[email protected]; www.ipminstitute.org

Copyright Sysco Corporation

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Prepared by the IPM Institute for Sysco Page 2 of 37 CONFIDENTIAL © copyright Sysco Corporation 02/28/2017

Audit Information Auditor Name, Title, Company __________________________________________________________________ Start Date and Time mm/dd/yyyy hh:mm am/pm __________________________________________________________________ End Date and Time mm/dd/yyyy hh:mm am/pm __________________________________________________________________ Foreman or Contact Person (and email) __________________________________________________________________ City __________________________________________________________________ State/Province __________________________________________________________________ Country __________________________________________________________________ Audit Summary __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Crops Crop Name: __________________________________________________________________ Number of years supplier has produced this crop for Sysco: _________________________________________________________________ Total number of acres of this crop produced: __________________________________________________________________ States/country where grown: __________________________________________________________________ Crop represents what percent of production for Sysco: __________________________________________________________________ Crop Name: __________________________________________________________________ Number of years supplier has produced this crop for Sysco: _________________________________________________________________ Total number of acres of this crop produced: __________________________________________________________________ States/country where grown: __________________________________________________________________ Crop represents what percent of production for Sysco: __________________________________________________________________ Crop Name: __________________________________________________________________ Number of years supplier has produced this crop for Sysco: _________________________________________________________________ Total number of acres of this crop produced: __________________________________________________________________ States/country where grown: __________________________________________________________________ Crop represents what percent of production for Sysco: __________________________________________________________________ Entities Supplier to Sysco Name: _______________________________________________________________________________________________ Street Address: _______________________________________________________________________________________________ City,State,Zip: _______________________________________________________________________________________________ Processing Plant (If different from above.) Name: _______________________________________________________________________________________________ Street Address: _______________________________________________________________________________________________ City,State,Zip: _______________________________________________________________________________________________ Grower(s) (List only those growers audited.)

Name: _______________________________________________________________________________________________ Street Address: _______________________________________________________________________________________________ City, State, Zip: _______________________________________________________________________________________________ Participant in Potato Sustainability Initiative? (Yes or No) ____________________________________________________________________

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Categories Preliminaries 1.01 Is production approved under another on-site environmental practice audit program? (This item is informational only and will not affect score.)

Yes No Memo: _______________________________________________________________________________________________

_______________________________________________________________________________________________ _______________________________________________________________________________________________

1.01 Verify Indicate other on-site environmental practice audit program(s) and view certificate or other documentation:

Cornell IPM Elements Food Alliance GLOBALG.A.P. Protected Harvest Rainforest Alliance USDA Certified Organic Potato Sustainability Initiative (If yes, USE PSI PROCESSING FACILITY AUDIT, NOT THIS AUDIT) Other (specify)

Minimum standards 2.01 Biosolids are not used on fields within one year prior to planting a fruit or vegetable crop, unless permission has been requested

by the supplier and granted in writing by Sysco Quality Assurance management. Untreated sewage is never used. To date, an exception has been granted for sweet corn grown in rotation with field corn, to which the application of biosolids is a common practice.

Pass Fail Memo: ______________________________________________________________________________________________

______________________________________________________________________________________________ ______________________________________________________________________________________________

2.01 Verify Auditor viewed the following documents:

Supplier written policy statement Supplier written requirement to sub-suppliers Nutrient application records for randomly selected fields used to produce fruit or vegetable crops grown for Sysco

2.02 Genetically modified fruit and vegetable crops are not grown, unless permission has been requested by the supplier and granted

in writing by Sysco Quality Assurance management. The use of genetic engineering with respect to certain raw materials including corn, soybeans and rice is widespread, and these products are accepted by Sysco Corporation. Products distributed by Sysco comply with all applicable federal and state laws and labeling regulations regarding genetically engineered food products.

Pass Fail Memo: _______________________________________________________________________________________________

_______________________________________________________________________________________________ ______________________________________________________________________________________________

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2.02 Verify Auditor viewed the following documents: Supplier written policy statement Supplier written requirement to sub-suppliers Seed supplier(s) written certification Seed purchase records for randomly selected locations Supplier product testing records for GMO content, if any

2.03 SUPPLIER and SUB-SUPPLIERS are aware of legal requirements pertaining to pesticide and nutrient applications, and employee health and safety, and have no open or unresolved violations.

Pass Fail Memo: _______________________________________________________________________________________________

_______________________________________________________________________________________________ _______________________________________________________________________________________________

2.03 Verify Auditor viewed the following evidence of compliance with applicable legal requirements: Supplier written policy statement regarding compliance with legal requirements Supplier written compliance requirement to sub-suppliers Pesticide applicator licensing/certification for randomly selected applicators Worker protection standard/right-to-know materials Availability of personal protective equipment (PPE) for pesticides used

2.03-a1 Has the SUPPLIER been cited for violations since the previous audit or within the last two years if they are a new supplier? If yes,

explain in detail including current status in memo. (Informational only, does not affect score.) Yes No

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

2.03-a1 Verify SUPPLIER violations may pertain to:

Air pollution Wastewater disposal Water contamination Noise complaints Waste disposal Employee welfare and safety Other (describe) None

2.04 Complete, legible pesticide application records are available for the current season. These records may be with SUPPLIER or SUB-

SUPPLIER and must be maintained for three years. Pass Fail

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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2.04 Verify FOR A PASS RATING, ALL of the following information must be included on pesticide application records: Time Date Location Target pest Material applied Rate Applicator Application method Weather conditions: estimated or measured wind speed and direction Weather conditions: estimated or measured temperature

2.05 Complete, legible nutrient application records are available for the current season. These records may be with SUPPLIER or SUB-

SUPPLIER and must be maintained for three years. Pass Fail

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

2.05 Verify FOR A PASS RATING, ALL of the following non-optional information must be included on nutrient application records:

Date Time (optional) Weather (optional) Location Material applied Rate Applicator Application method

Scored General Standards 3.01-a1 A map or list identifies environmentally sensitive areas at the PROCESSING PLANT. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.01-a1 Verify FOR FULL POINTS, ALL environmentally sensitive areas at or immediately adjacent to the PROCESSING PLANT must be identified.

Specify sensitive areas identified at the PROCESSING PLANT: Aquifers Surface water bodies Wetlands Wellheads Endangered/threatened species habitat Chemical storage Storm drains Fuel tanks On site dwellings

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Pollinator habitat Other (describe) None

3.01-a2 A map or list identifies environmentally sensitive areas at each FIELD PRODUCTION site. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.01-a2 Verify FOR FULL POINTS, ALL environmentally sensitive areas must be identified at or immediately adjacent to all FIELD PRODUCTION

sites. Specify sensitive areas identified for FIELD PRODUCTION sites: Aquifers

Surface water bodies Wetlands Wellheads Endangered/threatened species habitat Chemical storage Storm drains Fuel tanks On site dwellings Other (describe) None

3.01-b New field production has NOT been established in sensitive areas since the previous audit, or within the past three years for new

suppliers, except where production is related to the sensitive feature, e.g., cranberries, rice in wetlands, in which case special protective measures should be in place.

Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.01-c1 Adequate measures are in place to protect sensitive areas at the PROCESSING PLANT. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.01-c1 Verify Measures at the PROCESSING PLANT to protect sensitive areas include: Undeveloped reserves Filter strips Signage Fencing Buffers, details (e.g. size) Invasive plant removal Locked areas Adequate containment Other (describe)

3.01-c2 Adequate measures are in place to protect sensitive areas at FIELD PRODUCTION sites. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.01-c2 Verify Measures at FIELD PRODUCTION sites to protect sensitive areas include:

Undeveloped reserves Filter strips Signage Fencing Buffers, details (e.g. size) Invasive plant removal Locked areas Adequate containment Other (describe)

3.01-d Sensitive areas at the PROCESSING PLANT and FIELD PRODUCTION sites are visually monitored at least annually. Status and corrective actions taken are recorded in writing. Note frequency of monitoring in memo.

Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.01-e Quantitative measures of the quality of sensitive areas at the PROCESSING PLANT and FIELD PRODUCTION sites are made and

recorded, and improved over time. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.01-e Verify Identify quantitative measures: Species present Water quality measures Incoming irrigation or processing water testing Outgoing runoff or wastewater testing Other (describe)

3.02-a SUPPLIER/SUB-SUPPLIERS create habitat and forage sources on the farm for pollinators. Possible Score 40 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.02-a Verify Strategies implemented to provide habitat and forage opportunities for pollinators may include: A variety of plant species attractive to pollinators are planted and/or existing plantings are maintained in non-cropped areas and planned to provide nectar and pollen sources throughout the foraging season

Flowering cover crops with abundant pollen and nectar are planted Nesting sites are created such as areas of semi-bare, untilled ground for ground nesting bees and tube bundles and blocks for wood and cavity nesting bees Clean water sources are available on the farm for pollinators Other (describe)

3.03-a1 SUPPLIER has emergency contact information and staff procedures readily available in the event of possible emergencies. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.03-a2 SUB-SUPPLIERS have emergency contact information and staff procedures readily available in the event of possible emergencies. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.03-b1 SUPPLIER emergency management plans are written and readily accessible. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.03-b1 Verify FOR FULL POINTS, SUPPLIER emergency management plans must have at least the following elements: Potential emergencies and response Staff roles and responsibilities Training protocol for staff Resources for control/contain/cleanup Emergency contacts Other (describe)

3.03-b2 SUB-SUPPLIER emergency management plans are written and readily accessible. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.03-b2 Verify FOR FULL POINTS, SUB-SUPPLIER emergency management plans must have at least the following elements:

Potential emergencies and response Staff roles and responsibilities Training protocol for staff Resources for control/contain/cleanup Emergency contacts Other (describe)

3.03-c1 SUPPLIER emergency management plans address potential emergencies. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.03-c1 Verify FOR FULL POINTS, SUPPLIER emergency management plans must address at least the first four emergencies below: Fuel spills

Chemical spills Worker exposure Fire Other (describe)

3.03-c2 FOR FULL POINTS, SUB-SUPPLIER emergency management plans address potential emergencies. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.03-c2 Verify FOR FULL POINTS, SUB-SUPPLIER emergency management plans must address at least the first five emergencies below: Fire Fuel spills Pesticide spills Nutrient spills Worker exposure Other (describe)

3.03-d SUPPLIER or SUB-SUPPLIERS have experienced an environmental emergency since the previous audit or within three years if new supplier. If yes, describe the emergency and response in memo. (Informational only, does not affect score.) Possible Score 0 Yes No

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.04-a SUPPLIER and/or SUB-SUPPLIERS have emergency contact information and staff procedures readily available in the event of unexpected drift. Possible Score 30 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.04-b Application equipment is appropriate for the use. Calibration is current and written calibration records are available for at least the most recent calibration. Possible Score 30 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.04-c SUPPLIER and/or SUB-SUPPLIER drift management plans are written and readily accessible. Possible Score 40 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.04-c Verify FOR FULL POINTS, drift management plans must be available for all FIELD PRODUCTION sites where applications are made and have at least the following elements:

Staff roles and responsibilities Training protocol for staff Information to help applicator to determine when weather conditions are unsafe for specific types of pesticides Information to help applicator select or adjust formulations, additives, equipment, techniques, or other options to reduce drift. Contact information for those requiring notification if unexpected drift has occurred

3.04-d Have SUPPLIER or SUB-SUPPLIERS been cited for off-target application of agrochemicals since the previous audit, or within the last three years if a new supplier? If yes, describe situation and response in memo. (Informational only, does not affect score.)

Possible Score 0 Yes No

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.05-a1 Visibly eroded areas around PROCESSING PLANT sites are not present or extremely limited in size and number with corrective measures in place. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.05-a2 Visibly eroded areas around FIELD PRODUCTION sites are not present or are extremely limited in size and number with corrective measures in place. Possible Score 30 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.05-b1 Protective measures are in place at the PROCESSING PLANT where the threat of soil erosion exists from wind or water. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.05-b1 Verify Protective measures at the PROCESSING PLANT include:

Terraces Mulches Manage drainage Buffer or filter strips Established vegetation Other (describe)

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3.05-b2 Protective measures are in place at FIELD PRODUCTION sites where the threat of soil erosion exists from wind or water. Possible Score 30 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.05-b2 Verify Protective measures at FIELD PRODUCTION sites include: Windbreaks (fencing, plantings) Terraces Cover crops Mulches Contours Managed drainage Buffer or filter strips Limiting duration of bare soil, e.g., to periods when crop is competing with other vegetation for water, nutrients

Other (describe)

3.06-a1 SUPPLIERS and/or SUB-SUPPLIERS monitor and record basic soil health indicators for FIELD PRODUCTION sites. Possible Score 30 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.06-a1 Verify For full points, the following basic indicators must be monitored and recorded for all FIELD PRODUCTION sites. Fertility (N, P, K) as per soil or tissue sample pH 3.06-a2 SUPPLIERS and/or SUB-SUPPLIERS monitor and record advanced soil health indicators. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.06-a2 Verify FOR FULL POINTS, at least four of the following must be monitored and recorded for all FIELD PRODUCTION sites: Compaction Infiltration Rate Soil respiration Structure Aggregate stability Texture Earthworm populations Salinity

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Available water capacity Surface hardness Organic matter Active carbon Potentially mineralizable N Root health rating Micronutrients 3.06-b SUPPLIERS and/or SUB-SUPPLIERS implement adequate protective/corrective measures to improve and maintain soil health. Possible Score 40 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.06-b Verify Protective/corrective measures have been implemented to maintain and improve soil health such as:

Reduced tillage Cover crops/green manures Flotation tires Reduced tire air pressure Dual wheels Fixed travel lanes Reduced trips across field Soil amendments Other (describe)

3.07-a1 SUPPLIER does not burn trash. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.07-a1 Verify SUPPLIER verification: Burn piles are not used to dispose of debris (garbage, broken pallets) at processing plants or production sites Burning vegetation is limited to crops where it is an accepted

Best Management Practice (BMP), e.g., Extension-recommended burning of infected plant material to reduce disease inoculum. Describe BMP in memo.

3.07-a2 SUB-SUPPLIERS do not burn trash. Possible Score 30 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.07-a2 Verify SUB-SUPPLIER verification: Burn piles are not used to dispose of debris (garbage, broken pallets) at processing plants or production sites.

Burning vegetation is limited to crops where it is an accepted. Best Management Practice (BMP), e.g., Extension- recommended burning of infected plant material to reduce disease inoculum. Describe BMP in memo.

3.08-a SUPPLIER has formed a multidisciplinary IPM advisory team. (Only one team is required per supplier regardless of the number of crops produced.) Possible Score 50 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.08-a Verify FOR FULL POINTS, team must include the following:

Insect pest management expertise Disease management expertise Weed management expertise Agronomy/horticulture expertise Representative from Extension, NRCS, Soil & Water Conservation District (optional)

3.08-b Sustainable Ag/IPM team meets at least annually to review performance and identify and plan improvements. Note meeting

frequency and date of last meeting in memo. Possible Score 50 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.09-a SUPPLIER implements measures to improve PROCESSING WATER use efficiency. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.09-a Verify Implemented measures may include:

Upgrading processing equipment (describe) Water reuse Water per unit of production Monitor established water budget for plant Low flow nozzles Other (describe)

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3.09-b SUPPLIER and/or SUB-SUPPLIERS implement measures to improve IRRIGATION WATER use efficiency. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.09-b Verify Implemented measures may include: Drop nozzles installed on overhead irrigation Furrow/flood irrigation replaced by overhead or drip

Laser leveling flood-irrigated fields Shutoff devices triggered by rainfall Flow meters on irrigation pumps Water budget in place Use of soil and plant moisture technologies such as soil probes, precipitation / evaporation monitoring Other (describe)

3.09-c1 SUPPLIER measures and reports performance, e.g., processing water use per unit of production. Describe in memo. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.09-c2 SUB-SUPPLIERS measure and report performance, e.g., irrigation water use per unit of production. Describe in memo. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.09-d SUPPLIER and/or SUB-SUPPLIERS implemented measures to improve irrigation water quality. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.09-d Verify Implemented measures may include. Sediment / drainage = establish vegetation cover (hedgerows, herbaceous barriers, windbreak/shelterbelts, vegetated field borders) in areas sensitive to erosion that drain into waterways; contour buffer strips/terracing; conservation tillage; mulching around crops and cover cropping; and cross wind trap strips/planting perpendicular to the prevailing wind direction. Salinity = identify saline recharge and discharge areas by testing; manage irrigation water to minimize salt delivery to surface and ground water. Nutrient management = establish minimum setback distance (approx. 35 feet) between application area and closest waterway (includes canals, ditches, sink holes, etc.) Pest management = use “smart sprayer” and other technologies that improve application precision; minimum setback distance ((approx. 35 feet) between application area and closest waterway (includes canals, ditches, sink holes, etc.)

3.10-a1. SUPPLIER implements measures to reduce PROCESSING PLANT energy use. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.10-a1 Verify Implemented measures may include:

Improving energy efficiency of processing equipment Undergoing an energy use audit and implementing recommendations Electrical submetering to track energy use by areas of a facility Other (describe) 3.10-a2 SUPPLIER and/or SUB-SUPPLIERS implement measures to reduce FIELD PRODUCTION energy use. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.10-a2 Verify Implemented measures may include: Tractor auto-steering, reduced tillage or other practices to reduce trips cross the field Improving energy efficiency of irrigation pumps Reduction in petroleum based inputs (e.g., petroleum based fertilizers) Undergoing energy use audit and implementing recommendations Other (describe) 3.10-b1 SUPPLIER implements measures to reduce PROCESSING PLANT use of non-renewable energy. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.10-b1 Verify Implemented measures may include: Transition to bio-diesel Transition to ethanol Transition to wind energy Transition to solar energy Purchase of wind/solar energy Carbon credit NOx credit Other (describe)

3.10-b2 SUPPLIER and/or SUB-SUPPLIERS implement measures to reduce FIELD PRODUCTION use of non-renewable energy. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.10-b2 Verify Implemented measures may include:

Transition to bio-diesel Transition to ethanol Transition to wind energy Transition to solar energy Purchase of wind/solar energy Carbon credit

NOx credit Other (describe) 3.10-c1 SUPPLIER measures and report performance, e.g., processing plant fuel use per unit of production or transition to renewable fuels. Describe in memo. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.10-c2 SUB-SUPPLIERS measure and report performance, e.g., overall fuel use per unit of production or transition to renewable fuels. Describe in memo. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.11-a1 SUPPLIER reuses resources onsite. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.11-a1 Verify FOR FULL POINTS, SUPPLIER should reuse all resources available for reuse. These may include: Processing waste is land-spread or fed to animals Processing water is reused for irrigation

Plant material from field operations is reused, e.g., prunings are chipped and returned to soil Other (describe)

3.11-a2 SUB-SUPPLIER reuses resources onsite. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.11-a2 Verify FOR FULL POINTS, SUB-SUPPLIER should reuse all resources available for reuse. These may include: Processing waste is land-spread or fed to animals Processing water is reused for irrigation Plant material from field operations is reused, e.g., prunings are chipped and returned to soil Other (describe) 3.11-b1 SUPPLIER measures and records performance, e.g., types/amounts of on-site reuse of renewables. Describe in memo. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.11-c1 SUB-SUPPLIERS measure and record performance, e.g., types/amounts of on-site reuse of renewables. Describe in memo. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.12-a1 SUPPLIER recycles materials. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.12-a1 Verify FOR FULL POINTS, SUPPLIER should recycle all recyclable resources. These may include: Glass Metal Paper Plastics Batteries Computers Pesticide containers Other (describe)

3.12-a2 SUB-SUPPLIERS recycle materials. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.12-a2 Verify FOR FULL POINTS, SUB-SUPPLIERS should recycle all recyclable resources. These may include:

Glass Metal Paper Plastics Batteries Computers Pesticide containers Other (describe)

3.12-b1 SUPPLIER measures and records performance, e.g., types/amounts recycled. Describe in memo. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.12-b2 SUB-SUPPLIERS measure and record performance, e.g., types/amounts recycled. Describe in memo. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.12-c1 SUPPLIER purchases product with recycled content and/or reduces waste. Possible Score 10 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.12-c1 Verify Implemented purchases may include: Recycled card board Recycled office paper Recycled pallets Recycled building supplies Other 3.13-a1 SUPPLIERS/SUB-SUPPLIERS maintain fair and open communications and mutual agreements with employees and trade partners. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.13-a1 Verify Implemented measures may include: Employee involvement in decision making

Financial/other performance measures transparency Formal employee grievance procedures Trade/partner customer satisfaction surveys Other (describe) 3.13-b Has SUPPLIER been involved in significant disputes with customers, trade partners or employees (e.g., strikes, litigation) since

the previous audit or within the previous three years if a new supplier? If yes, describe in memo. (Informational only, does not affect score.)

Possible Score 0 Yes No

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.13-c Are any significant disputes open or unresolved? If yes, please explain in memo. (Informational only, does not affect score.) Possible Score 0 Yes No

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.14-a1 SUPPLIER provides opportunities for employee advancement. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.14-a1 Verify Advancement opportunities may include: Employee education and cost share

Education leave Internal advancement policy vs. external hires

In-house education and training Other (describe) 3.14-b1 SUPPLIER measures and records performance, e.g., employee participation rates, dollar investment, etc. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.15-a1 SUPPLIER provides rewards/incentives for innovation and improvement. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.15-a1 Verify Rewards/incentives may include: Profit sharing with employees/trade partners Incentive bonus for employees Quality bonus to suppliers Safety incentives Other (describe) 3.15-a2 SUB-SUPPLIERS provide rewards/incentives for innovation and improvement. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.15-a2 Verify Rewards/incentives may include: Profit sharing with employees/trade partners Incentive bonus for employees Quality bonus to suppliers Safety incentives Other (describe)

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3.15-b1 SUPPLIER measures and reports performance, e.g., profit sharing results. Possible Score 5 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.15 c1 Supplier implements socially responsible employee practices. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.15-c1 Verify Implemented practices may include: Follows child labor laws Meals provided for labor

Housing provided for labor Transportation provided to labor Safety program Retirement program Insurance plan Profit-sharing plan

Other 3.15 d1 Sub-Supplier implements socially responsible employee practices. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.15-d1 Verify Implemented practices may include:

Follows child labor laws Meals provided for labor Housing provided for labor Transportation provided to labor Safety program Retirement program Insurance plan Profit-sharing plan Other

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3.16-a SUPPLIER has a written sustainability plan addressing company operations. Possible Score 50 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.16-a Verify Goals for improving sustainability indicators may include:

Logistics Purchasing Practices Packaging Sensitive area/biodiversity protection Environmental emergency management

3.17-a SUPPLIER communicates improvements in stewardship indicators. Possible Score 30 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.17-a Verify Improvements in stewardship indicators and communication methods may include: Sensitive area/biodiversity protection Websites Soil erosion control/soil health improvement Water, energy use efficiency Reuse/recycling Employee/trade partner relations Employee communications Annual performance report Shareholder communications Other (describe) 3.17-b SUB-SUPPLIERS improvements in stewardship indicators are communicated by SUPPLIER or SUB-SUPPLIER. Possible Score 20 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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3.17-b Verify Improvements in stewardship indicators and communication methods may include: Sensitive area/biodiversity protection

Websites Soil erosion control/soil health improvement Water, energy use efficiency Reuse/recycling Employee/trade partner relations Employee communications Annual performance report Shareholder communications Other (describe) 3.18-a On-farm research been conducted or supported financially or otherwise in past year. List and describe in memo. Possible Score 25 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.18-b Science-based procedures are used for on-farm research. Possible Score 25 Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

3.18-b Verify Science-based procedures may include: Check or controls are used Quantitative results are documented in writing Other Scored Crop-Specific Standards 4.01-a SUPPLIER has access to IPM information resources.

Possible Score 10 Crop: _______________________________________________________________________________________________

Points Earned_______________ Memo: _______________________________________________________________________________________________

_______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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4.02-a SUPPLIER identifies key pests (those which usually require action to prevent economic losses) and understands key pest biology. Possible Score 100

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.02-a Verify FOR FULL POINTS, supplier should be able to identify pest life cycle in relation to crop growth stages, crop-damaging life stage

and important behaviors related to pest management. Key pest lists may include: Crop: _______________________________________________________________________________________________

Insect pests Diseases Weeds Other (describe)

Crop: _______________________________________________________________________________________________ Insect pests Diseases Weeds Other (describe)

4.03-a SUPPLIER identifies effective non-chemical and chemical strategies to prevent losses by each key pest. Possible Score 100

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.03-a Verify FOR FULL POINTS, strategies should include both chemical and non-chemical options for each key pest, such as the following:

Crop: _______________________________________________________________________________________________ Cultural Mechanical Biological Chemical Other (describe)

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Crop: _______________________________________________________________________________________________ Cultural Mechanical

Biological Chemical Other (describe)

4.04-a SUPPLIER/SUB-SUPPLIERS implements effective scouting, sampling and monitoring techniques for all key pests for which these techniques are available. Possible Score 100

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.04-a Verify Strategies should include systemic application of one or more of the following for each key pest:

Crop: _______________________________________________________________________________________________ Visual sampling Insect traps, sweep nets Weed mapping Weather conditions Extension crop/region pest alerts/forecast Other (describe)

Crop: _______________________________________________________________________________________________ Visual sampling Insect traps, sweep nets Weed mapping Weather conditions Extension crop/region pest alerts/forecast Other (describe)

4.05-a SUPPLIER/SUB-SUPPLIERS use science-based action thresholds to determine when to take action for each key pest for which thresholds are available. Possible Score 100

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.05-a Verify Thresholds may include the following:

Crop: _______________________________________________________________________________________________ Visual sampling counts for pests or damage Trap, sweep net counts Specific weather conditions favorable to disease development Economic Threshold Other (describe)

Crop: _______________________________________________________________________________________________ Visual sampling counts for pests or damage Trap, sweep net counts

Specific weather conditions favorable to disease development Economic Threshold Other (describe) 4.06-a Pesticide applications are tied to a documented need. Possible Score 40

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.06-a Verify Documented need may include the following:

Crop: _______________________________________________________________________________________________ Pest over threshold based on scouting Specific weather conditions favorable to disease Written document supporting the need for preventative application Extension regional pest alerts Crop and site-specific history of pest problems Other (describe)

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Crop: _______________________________________________________________________________________________ Pest over threshold based on scouting Specific weather conditions favorable to disease Written document supporting the need for preventative application Extension regional pest alerts Crop and site-specific history of pest problems Other (describe) 4.06-b Total pesticide use, e.g., pounds of active ingredient, is measured and recorded. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.06-c Pesticide use is tracked and reduced over time by transitioning to non-chemical strategies. Possible Score 40

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.06-c Verify Non-chemical strategies may include:

Crop: _______________________________________________________________________________________________ Application techniques: e.g., auto-steering, spot application Cultural: e.g., insect trapping, barriers Biological: conserving, importing beneficial insects Other (describe)

Crop: _______________________________________________________________________________________________ Application techniques: e.g., auto-steering, spot application Cultural: e.g., insect trapping, barriers Biological: conserving, importing beneficial insects Other (describe)

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4.07-a Nutrient application rates reflect available nutrients and projected crop need, i.e., by nutrient management planning. Possible Score 40

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.07-a Verify FOR FULL POINTS, nutrient application rates must be determined by one or more of the following:

Crop: _______________________________________________________________________________________________ Soil sampling Foliar analysis Nutrient crediting from prior to concurrent crops Crop nutrient removal and requirements Other science-based techniques (describe) Crop: _______________________________________________________________________________________________

Soil sampling Foliar analysis Nutrient crediting from prior to concurrent crops Crop nutrient removal and requirements Other science-based techniques (describe)

4.07-b Nutrient use efficiency, e.g., use per unit of production, is measured and recorded. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.07-c Nutrient use efficiency is tracked and improved over time by transitioning to alternative strategies. Possible Score 40

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.07-c Verify Strategies may include the following:

Crop: _______________________________________________________________________________________________ Auto-steering Variable rate application Cover crops, green manures Crop rotations with legumes Reduced tillage Timing application to match crop need, split applications Other (describe)

Crop: _______________________________________________________________________________________________ Auto-steering Variable rate application Cover crops, green manures Crop rotations with legumes Reduced tillage Timing application to match crop need, split applications Other (describe)

4.08-a SUPPLIER and/or SUB-SUPPLIERS meet minimum continuing education requirements for pesticide applicator

licensing/certification. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.08-b SUPPLIER and/or SUB-SUPPLIERS participated in IPM/sustainable ag training events in the previous year beyond minimum legal requirements. Possible Score 40

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.08-b Verify FOR FULL POINTS, both SUPPLIER and SUB-SUPPLIER representatives must have participated in one or more events. Training

events may include the following: Crop: _______________________________________________________________________________________________

Sustainable ag/IPM training sessions at industry association meetings Field days held on farms in season Certified web based training Extension meetings Other (describe)

Crop: _______________________________________________________________________________________________ Sustainable ag/IPM training sessions at industry association meetings Field days held on farms in season Certified web based training Extension meetings Other (describe)

4.08-c Multiple IPM/sustainable ag topics were covered in training within the last year. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.08-c Verify FOR FULL POINTS, training within the past year must include three or more topics. Training topics may include:

Crop: _______________________________________________________________________________________________ Soil health/quality management Biological controls Scouting, monitoring and/or thresholds New pests Resistance management Other (describe)

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Crop: _______________________________________________________________________________________________ Soil health/quality management Biological controls Scouting, monitoring and/or thresholds New pests Resistance management Other (describe)

4.08-d Training records are written and include staff attending, name of session, topics addressed and date. Possible Score 10

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.08-e SUPPLIER and/or SUB-SUPPLIERS provide, host or support events that include IPM/sustainable ag training. Possible Score 10

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.09-a SUPPLIER/SUB-SUPPLIERS identify specific pesticide uses most at risk for pest resistance and can identify pesticides with

different modes of action. Possible Score 40

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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4.09-a Verify FOR FULL POINTS, both of the following should be true:

Crop: _______________________________________________________________________________________________ Staff or consultant responsible for pesticide selection can group pesticides used by modes of action These staff are aware of pesticide uses most at risk of resistance Other (describe)

Crop: _______________________________________________________________________________________________ Staff or consultant responsible for pesticide selection can group pesticides used by modes of action These staff are aware of pesticide uses most at risk of resistance Other (describe) 4.09-b In addition to reducing reliance on pesticides through scouting, monitoring, thresholds and/or spot treatments, other strategies are used to delay resistance. Possible Score 50

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.09-b Verify Other strategies to delay resistance to pesticides may include: Crop: _______________________________________________________________________________________________

Rotate annual crops where appropriate Establish refuges (untreated areas) where appropriate Rotate or combine modes of action for pesticide uses most at risk of resistance Use maximum application rates for pesticide uses most at risk where appropriate Rotate chemical controls with non-chemical methods where appropriate Biological control Other (describe)

Crop: _______________________________________________________________________________________________ Establish refuges (untreated areas) where appropriate Rotate or combine modes of action for pesticide uses most at risk of resistance Use maximum application rates for pesticide uses most at risk where appropriate Rotate chemical controls with non-chemical methods where appropriate Biological control Other (describe)

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4.09-c SUPPLIER/SUB-SUPPLIERS formally assess performance of pesticides most at risk of resistance to detect and report problems early. Possible Score 10

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.09-c Verify Performance assessment may include:

Crop: _______________________________________________________________________________________________ In-field check or comparison strips Post-treatment pest counts in field Laboratory testing of samples collected on site Other (describe)

Crop: _______________________________________________________________________________________________ In-field check or comparison strips Post-treatment pest counts in field Laboratory testing of samples collected on site Other (describe)

4.10-a SUPPLIER/SUB-SUPPLIERS rank pesticides used by potential for residue on crop at harvest or post-harvest, and reduce/restrict use of those with greatest residue potential. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

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4.10-b SUPPLIER/SUB-SUPPLIERS rank pesticides used by acute toxicity to mammals and reduce use of most toxic. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.10-b Verify Pesticide ranking by acute toxicity to mammals includes:

Crop: _______________________________________________________________________________________________ Using signal word on product label, "Caution" signifying least-toxic Other (describe)

Crop: _______________________________________________________________________________________________ Using signal word on product label, "Caution" signifying least-toxic Other (describe) 4.10-c SUPPLIER/SUB-SUPPLIERS rank pesticides used by toxicity to beneficials, including pollinators, and reduce use of most toxic. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.10-c Verify Pesticide ranking by toxicity to beneficial insects, including pollinators, is based on: Pollinator safety information on pesticide labels and/or EPA Pollinator Protection Box New York State IPM Environmental Impact Quotient (EIQ) Calculator output How to Reduce Bee Poisoning from Pesticides (Table 4), Pacific Northwest Extension Publication

Wild Pollinators of Eastern Apple Orchards and How to Conserve Them (page 17), Northeastern IPM Center, Cornell University, Penn State University, Xerces Society for Invertebrate Conservation The Pesticide Manual by the British Crop Production Council Windows Pesticide Screening Tool: Win-PST (http://go.usa.gov/Kok) Pesticide Risk Tool (www.pesticiderisk.org) Other (describe)

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4.10-d SUPPLIER/SUB-SUPPLIER rank pesticides used by chronic toxicity to mammals and reduce use of most toxic. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.10-d Verify Pesticide ranking by chronic toxicity to mammals may include:

Crop: _______________________________________________________________________________________________ SDS information on chronic hazards Carcinogencity rating by US EPA, international agency for research on cancer and/or California Proposition 65 Reproductive/developmental toxicity (EPA, CA Prop 65) Endocrine system hazard rating Other (describe)

Crop: _______________________________________________________________________________________________ SDS information on chronic hazards Carcinogencity rating by US EPA, international agency for research on cancer and/or California Proposition 65 Reproductive/developmental toxicity (EPA, CA Prop 65) Endocrine system hazard rating Other (describe)

4.10-e SUPPLIER/SUB-SUPPLIERS rank pesticides used by eco-toxicity and reduce use of those with greatest hazards. Possible Score 20

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.10-e Verify Pesticide ranking by eco-toxicity hazards may include:

Crop: _______________________________________________________________________________________________ Groundwater contamination Surface water contamination Birds Aquatic organisms Amphibians

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Ozone depleter Volatile organic compounds (VOCs) Other (describe)

Crop: _______________________________________________________________________________________________ Groundwater contamination Surface water contamination Birds Aquatic organisms Amphibians Ozone depleter Volatile organic compounds (VOCs) Other (describe)

4.11-a SUPPLIER/SUB-SUPPLIERS protect bees and other pollinators from pesticide applications. Possible Score 40

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

Crop: _______________________________________________________________________________________________ Points Earned_______________

Memo: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________

4.11-a Verify Strategies to protect pollinators from pesticide applications may include: IPM practices are implemented to minimize pesticide use and risk to pollinators

Pesticides toxic to bees are not applied to crops in bloom Pesticides are not allowed to drift onto adjacent blooming plants that are attractive to pollinators Pollinator habitat outside of cropped areas is identified, and if present, > 20 ft. buffers are maintained around habitat to reduce risk from pesticide drift Forecasted low temperatures or dew are considered when applying pesticides toxic to bees to cropped areas where bees are expect to be foraging; residues may remain toxic to bees at least twice as long under these conditions Pesticides toxic to bees are applied when most pollinators are less active, e.g., evening, night When managed hives are present on the farm, beekeepers are informed when, where, how and what pesticide(s) are being applied Apiaries and sites on the farm containing crops sensitive to pesticide drift and are registered online at www.driftwatch.org or a similar system by the supplier/sub-supplier to enhance communication between growers and pesticide applicators to reduce drift incidents Other (describe)